Daniel Jon Hinderaker, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22718 Issued in MN

Practice address

2127 County Road D E Ste a
Maplewood, MN 55109-5349

Phone

(651) 592-1592

Fax

(651) 429-2988

NPI assigned

Aug 31, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Counseling, P.a.Group PAC ID 6608048541, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Counseling, P.a.

  • Adolescent and Children Mental Health Clinic/Center
  • Maplewood, MN
  • NPI 1053596577
  Medicare reassignment Care Compare group NPD
• Healtheast Medical Research Institute

  dba HealthEast Vadnais Heights Clinic

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment NPD
• Clayton D. Sankey Licsw, LLC

  • Clinical Social Worker
  • Maplewood, MN
  • NPI 1023097185
  NPD
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Midway Clinic

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1184670044
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Professional Services

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552

  Clinical

  NPD
• Healtheast Medical Research Institute

  dba HealthEast Rice Street Clinic

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1578503124
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Grand Avenue Clinic

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1730128398
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Roselawn Clinic

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1871549741
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1467908277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 COUNTY ROAD D E STE A100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095350",
            "telephone_number": "651-592-1592",
            "fax_number": "641-429-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 COUNTY ROAD D E STE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095349",
            "telephone_number": "651-592-1592",
            "fax_number": "651-429-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERAKER",
        "first_name": "DANIEL",
        "middle_name": "JON",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Herr
• Lindsey S. Herzog
• Joanna Hewson, M.D.
• Jacqueline Higgins, APRN, NP
• Stephanie Lyn Hillis, LPCC
• Elyas Hirsi
• Hmong Minnesota Senior Center
• Theresa M Hoffoss, WHCNP
• Hoglund Wallin Dentistry Partnership
• Kenneth Hoj, MD

• Clinical Social Worker in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.